Remote Heart Failure & Cardiovascular Programs Director

ISHE; Minnetonka (MN); Hybrid; USD 180,000 - 240,000; Full time

Job summary

UnitedHealthcare is seeking a Clinical Program Director for Heart Failure & Cardiovascular Programs to ideate, design, and develop technology-enabled clinical pathways that improve affordability, outcomes, and patient experience across heart failure and related cardiometabolic conditions. The role leads cross-functional teams, analyzes data, and partners with clinicians and executives to scale programs, implement care pathways, and ensure compliance.

Remote work from anywhere in the U.S.

Qualifications

• 5+ years of clinical experience in heart failure or related cardiovascular care.
• Experience using claims, clinical, pharmacy, quality, and operational data to drive program performance.
• Experience designing and scaling cardiovascular and value-based care programs.
• Experience developing KPIs, dashboards, and translating data into action.
• Experience collaborating with physicians, care teams, and business partners.
• Experience leading heart failure clinics or disease management programs.
• Deep clinical expertise in GDMT optimization and guideline-based care.
• Familiarity with health plan regulatory and governance requirements.
• Proven track record of improving quality, utilization, affordability, and outcomes.
• Proven ability to lead cross-functional teams and manage ambiguity.

Responsibilities

• Clinical Program Strategy and Design: Partner with the National Medical Director to design scalable cardiovascular programs that improve affordability, quality, outcomes, and member/provider experience.
• Lead development of technology-enabled care models focused on heart failure and GDMT optimization.
• Design clinical pathways, provider engagement strategies, decision-support tools, and operating models informed by guidelines and real-world practice.
• Develop business cases, operational models, and implementation strategies assessing impact, readiness, and financial performance.
• Expand program development across priorities including arrhythmia management and vascular disease.
• Clinical Leadership and Consultation: Serve as clinical SME for heart failure and cardiovascular program strategy and GDMT optimization.
• Provide consultation on complex cases and support escalation, provider engagement, and decision-making.
• Partner with leaders to establish governance processes, safety standards, escalation pathways, and care expectations.
• Support evaluation of clinical trends, protocol performance, quality outcomes, and provider feedback.
• Data, Analytics and Performance Improvement: Leverage data to identify opportunities and develop KPIs, dashboards, and outcome measurement strategies.
• Collaborate with analytics to measure outcomes and identify care variation and optimization opportunities.
• Evaluate performance and communicate improvements to stakeholders.
• Cross-Functional Leadership and Stakeholder Engagement: Lead cross-functional partnerships across clinical, operational, analytics, technology, and provider teams.
• Align executives, providers, and stakeholders to advance cardiovascular strategy and execution.
• Collaborate with Regulatory, Compliance, Legal, and Governance partners to ensure compliant design.
• Mentor clinical and non-clinical partners on pathways and workflows.
• Program Execution and Continuous Improvement: Support implementation, transition planning, and adoption across teams.
• Monitor program performance and recommend enhancements that improve outcomes and affordability.
• Identify opportunities to increase scalability, efficiency, and innovation across cardiovascular programs.
• Foster accountability and a culture of continuous improvement.

Skills

Leadership

Cross-functional collaboration

Data-driven decision making

Communication skills

Stakeholder management

Strategic thinking

Mentoring

Clinical governance

Job description

UnitedHealthcare is seeking a Clinical Program Director for Heart Failure & Cardiovascular Programs to ideate, design, and develop technology-enabled clinical pathways that improve affordability, outcomes, and patient experience across heart failure and related cardiometabolic conditions. The role leads cross-functional teams, analyzes data, and partners with clinicians and executives to scale programs, implement care pathways, and ensure compliance.

Remote work from anywhere in the U.S.